BCBSM Sample Clauses

BCBSM. BCN will not permit a group to separate its Medicare and non-Medicare retirees between carriers except when the group offers a BCBSM or BCN group Medicare Advantage plan. Applies to all retiree-only plans and ASC groups.
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BCBSM. BCN reserves the right to request a copy of one of the following: Group Health Plan document, Summary Plan Description, Section 125 Cafeteria Plan document or union contract. Document submitted must clearly define retiree eligibility requirements including years of service, age of retirement, and employer contributions amount, surviving spouse options and level of benefits. A letter from Group will not be accepted in lieu of one of these required documents.
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BCBSM. BCN, in its sole discretion, may immediately terminate this Agreement with or without cause at any time. BCBSM/BCN shall terminate access to the Company, Principal Administrator, any Delegated Administrator and any Users and BCBSM/BCN shall have no liability in connection with such termination.
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BCBSM is a major participant in and is familiar with the Minnesota healthcare market and knows of or has developed relationships with healthcare consumers, hospitals, physicians, employers, insurance companies and other healthcare related entities.
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BCBSM and BCN shall give Provider sixty (60) days prior written notice of substantial modifications to the Specialty Pharmacy program in accordance with section 3.1 (F). Other changes will be effective with notice.
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BCBSM in its sole discretion, shall have the option to rescind this Agreement in its entirety if BCBSM determines in good faith that the total dollar amount of Relevant Purchases (as defined in the Plan of Allocation) by Settlement Class Members who validly request exclusion materially undermines the value of the Settlement to BCBSM. In the event that Aetna Inc. requests exclusion, BCBSM agrees that it will not include the Relevant Purchases of Aetna Inc. in determining whether the total dollar amount of Relevant Purchases by Settlement Class Members who validly request exclusion materially undermines the value of the Settlement to BCBSM.
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BCBSM. The DCC agrees to make available to BCBSM, as the funding agency, data from the MTQIP clinical registry on which to judge participating sites’ participation in the MTQIP clinical registry and quality improvement initiatives. This information may include the timeliness, completeness, and quality of the participating sites data submissions, and their rates of attendance at MTQIP meetings, as well as responsiveness to DCC data queries and to resolving patterns of problems with regard to data validity. The DCC will also provide BCBSM Foundation information regarding the average and range of performance within the collaborative as a whole so that it may assess the extent to which the overall effort is succeeding in improving trauma surgery care. The DCC will not however make available to BCBSM confidential information on the performance of individual sites, other than performance/participation in quality improvement initiatives as part of the annual CQI index measures and scoring report.
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Related to BCBSM

  • DPR A DPR is 1/365th of an APR, rounded to one tenthousandth of a percentage point. Your DPRs are shown in How Rates and Fees Work on page 2 of Part 1.

  • Medi Cal PII is information directly obtained in the course of performing an administrative function on behalf of Medi-Cal, such as determining Medi-Cal eligibility or conducting IHSS operations, that can be used alone, or in conjunction with any other information, to identify a specific individual. PII includes any information that can be used to search for or identify individuals, or can be used to access their files, such as name, social security number, date of birth, driver’s license number or identification number. PII may be electronic or paper. AGREEMENTS

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Transnet (i) For legal notices: …………………………………………………… …………………………………………………… …………………………………………………… Fax No. ………… Attention: Group Legal Department

  • Statewide HUB Program Statewide Procurement Division Note: In order for State agencies and institutions of higher education (universities) to be credited for utilizing this business as a HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • University Any notice may be served upon the University by delivering it, in writing, to the University at the address set forth on the last page of this Agreement, by depositing it in a United States Postal Service deposit box with the postage fully prepaid and with the notice addressed to the University at the aforementioned address, or by sending a facsimile of it to the University facsimile number set forth on the last page of this Agreement.

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent contractors involved in the provision of services have been excluded from participation in any Federally-funded health care programs, including, but not limited to, Medicare and Medicaid.

  • Supplier Diversity Seller shall comply with Xxxxx’s Supplier Diversity Program in accordance with Appendix V.

  • Xxxxx, Haldimand, Norfolk (a) An employee shall be granted five working days bereavement leave with pay upon the death of the employee’s spouse, child, stepchild, parent, stepparent, legal guardian, grandchild or step-grandchild.

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